Adult and Children'S Dentistry at Carolina Forest Inc

Organization Active NPI Dentist · Myrtle Beach, SC

NPI 1093096984 · NPPES record last updated Sep 6, 2011

Key facts

NPI
1093096984
Entity type
Organization (NPI type 2)
Primary specialty
Dentist 122300000X
License
3446 (SC)
Legal business name
ADULT AND CHILDREN'S DENTISTRY AT CAROLINA FOREST INC
Practice address
4032 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6696
Phone
(843) 903-8800
NPI assigned
Sep 6, 2011
Organization subpart
No

Authorized official

Name
Dr. Jeffery S Walsh, DMD
Title
President
Phone
(843) 457-4651

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist
Group: 193400000X SINGLE SPECIALTY GROUP
122300000X 3446 SC Yes

Addresses

Primary practice location

4032 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6696

Mailing address

4032 River Oaks Dr Ste 2
Myrtle Beach, SC 29579-6696
Phone (843) 903-8800

Other providers in Myrtle Beach, SC

All providers in Myrtle Beach, SC · Dentist in South Carolina

Sources for this page

Verify at the official NPI Registry.